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psnet.ahrq.gov/node/49538/psn-pdf
June 01, 2007 - Abnormal Volunteer Results
June 1, 2007
Fernandez C. Abnormal Volunteer Results. PSNet [internet]. 2007.
https://psnet.ahrq.gov/web-mm/abnormal-volunteer-results
The Case
A healthy 52-year-old woman volunteered to participate in a radiology study in which she underwent
magnetic resonance imaging (MRI) of her abdo…
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psnet.ahrq.gov/node/33632/psn-pdf
April 01, 2006 - In Conversation with… Michael Cohen, RPh, MS, ScD
(hon)
April 1, 2006
In Conversation with… Michael Cohen, RPh, MS, ScD (hon). PSNet [internet]. 2006.
https://psnet.ahrq.gov/perspective/conversation-michael-cohen-rph-ms-scd-hon
Robert Wachter, Editor, AHRQ WebM&M: Tell us a little bit about your background and how…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/qi-action-slides.pptx
April 01, 2022 - Quality Improvement in Action Slides
Quality Improvement in Action
AHRQ Safety Program for Intensive Care Units:
Preventing CLABSI and CAUTI
AHRQ Pub. No. 17(22)-0019
April 2022
Objectives
Describe methods to identify your intensive care unit’s (ICU) focus area of improvement using quality improvement strategies
R…
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psnet.ahrq.gov/node/49466/psn-pdf
October 14, 2004 - Hard to Swallow
October 1, 2004
Driver J. Hard to Swallow. PSNet [internet]. 2004.
https://psnet.ahrq.gov/web-mm/hard-swallow
The Case
An elderly man underwent hernia surgery. Postoperatively, the patient developed a transient ischemic
attack (TIA) and respiratory difficulties. The nurses noted that the patient, …
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psnet.ahrq.gov/node/49711/psn-pdf
June 01, 2014 - Wandering Off the Floors: Safety and Security Risks of
Patient Wandering
June 1, 2014
Smith TA. Wandering Off the Floors: Safety and Security Risks of Patient Wandering. PSNet [internet].
2014.
https://psnet.ahrq.gov/web-mm/wandering-floors-safety-and-security-risks-patient-wandering
Case Objectives
Define patie…
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www.ahrq.gov/sites/default/files/wysiwyg/chsp/bundled-payments_0.pdf
January 01, 2019 - Health System Participation in Medicare Bundled Payment Models, 2016
1
Comparative
Health System
Performance
Initiative
Health System Participation
in Medicare Bundled
Payment Models, 2016
Data Highlight, No. 6 January 2019
Hospital participation in Medicare bundled payment models,
by system membership
Sy…
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www.ahrq.gov/sites/default/files/wysiwyg/chsp/ma-plans.pdf
March 01, 2019 - Provider-Offered Medicare Advantage Plans Among U.S. Health Systems, 2016
1
Comparative
Health System
Performance
Initiative
Provider-Offered Medicare
Advantage Plans Among U.S.
Health Systems, 2016
Data Highlight, No. 7 March 2019
Systems offering a Medicare Advantage (MA) plan
About 12% of systems offer …
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www.ahrq.gov/sites/default/files/wysiwyg/chsp/insurance-products.pdf
January 01, 2019 - Provider-Offered Insurance Products Among U.S. Health Systems, 2016
1
Comparative
Health System
Performance
Initiative
Provider-Offered Insurance
Products Among U.S. Health
Systems, 2016
Data Highlight, No. 5 January 2019
Systems offering an insurance product
Nearly 4 in 10 systems offer an insurance produ…
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meps.ahrq.gov/data_files/publications/st514/stat514.shtml
August 01, 2018 - STATISTICAL BRIEF #514: Reported Diagnosis and Prescription Utilization Related to Attention Deficit Hyperactivity Disorder in Children Ages 5–17, 2008–2015
Skip to main content
An official website of the Departm…
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digital.ahrq.gov/sites/default/files/docs/publication/r01hs017939-carroll-final-report-2013.pdf
January 01, 2013 - Computer Automated Developmental Surveillance and Screening (CADSS) - FInal Report
Grant Final Report
Grant ID: 5R01HS017939
Computer Automated Developmental Surveillance and
Screening (CADSS)
Inclusive Project Dates: 06/01/11 – 05/31/13
Principal Investigator:
Aaron Carroll, MD
Perfo…
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psnet.ahrq.gov/web-mm/procedural-mishap-learning-curve
April 28, 2021 - Procedural Mishap: Learning Curve?
Citation Text:
Gibbs VC, Leape L. Procedural Mishap: Learning Curve?. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2003.
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Format:
Google Scholar BibTeX EndNote X3 XML En…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/d4c_pdi03-foreignbody-bestpractices.pdf
November 01, 2012 - Selected Best Practices and Suggestions for Improvement
Pediatric Toolkit for Using the AHRQ Quality Indicators
How To Improve Hospital Quality and Safety
1 Tool D.4c
Selected Best Practices and Suggestions for Improvement
PDI 03: Retained Surgical Item or Unretrieved Device Fragment Count
Why focus on reta…
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psnet.ahrq.gov/perspective/rethinking-root-cause-analysis
August 21, 2016 - Annual Perspective
Rethinking Root Cause Analysis
Kiran Gupta, MD, MPH, and Audrey Lyndon, PhD | January 1, 2016
View more articles from the same authors.
Citation Text:
Gupta K, Lyndon A. Rethinking Root Cause Analysis. PSNet [internet]. Rockville (MD): Age…
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psnet.ahrq.gov/node/49776/psn-pdf
November 01, 2016 - Continuity Errors in Resident Clinic
November 1, 2016
Warm EJ. Continuity Errors in Resident Clinic. PSNet [internet]. 2016.
https://psnet.ahrq.gov/web-mm/continuity-errors-resident-clinic
The Case
A 32-year-old woman presented to internal medicine clinic for evaluation of headaches and difficulty
concentrating. …
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psnet.ahrq.gov/node/33699/psn-pdf
August 01, 2010 - Operationalizing Patient Safety at Academic Medical
Centers
August 1, 2010
Chakraborti C, Kahn MJ, Krane K. Operationalizing Patient Safety at Academic Medical Centers. PSNet
[internet]. 2010.
https://psnet.ahrq.gov/perspective/operationalizing-patient-safety-academic-medical-centers
Perspective
Academic medical…
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hcup-us.ahrq.gov/nassoverview.jsp
July 01, 2025 - NASS Overview
An official website of the Department of Health & Human Services
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Careers
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Espanol
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digital.ahrq.gov/sites/default/files/docs/page/0_Overview_0.pdf
July 13, 2007 - 0_Overview
July 13, 2007
Privacy and Security Solutions for
Interoperable Health Information
Exchange
Privacy and Security Assessment of Variation
Toolkit
Prepared for
Jonathan White, MD, Director of Health IT
Agency for Healthcare Research and Quality
540 Gaither Road
Rockville,…
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cdsic.ahrq.gov/cdsic/cdsic-stakeholder-community-outreach-center
January 02, 2025 - :
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CDS Innovation Collaborative
An official website of the Department of Health & Human Services
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integrationacademy.ahrq.gov/products/playbooks/behavioral-health-and-primary-care/implementing-plan/collect-and-use-data-quality-improvement
August 01, 2025 - An official website of the Department of Health & Human Services
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digital.ahrq.gov/ahrq-funded-projects/improving-allergy-documentation-and-clinical-decision-support-electronic-health
January 01, 2024 - Improving Allergy Documentation and Clinical Decision Support in the Electronic Health Record
Project Final Report ( PDF , 620.92 KB) Disclaimer
Disclaimer
The findings and conclusions in this document are those of the author(s), who are responsible for its content, and do not n…